| NPI | 1114407707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 217000407) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2019-08-16 |